Sorry a bit late in commenting on points made by Akiko about MHAct Review. Based on much discussion (study group on counteracting racism in MH systems, conference on MHAct Review and Institutional racism attended by nearly 130 people etc etc.), subsequent to the release on my book (https://www.springer.com/gb/book/9783319627274), I suggest that legal action (i.e. MHAct) can indeed play a part in counteracting institutional racism. Legislation can influence both practice and attitudes by setting standards and shifting the state-sponsored terms of acceptability, in the way Race Relations legislation, introduced in the 1970s altered employment practices and thence attitude of society. We can do this (for example) by regulating the process of making diagnoses and their ‘power’; regulating the skill base of professionals (who are currently totally dominated by white-supremacist, ‘white knowledge’); creating effective system of tribunals that are driven by principles of human rights, including by anti-discriminatory practice and combatting institutional racism; and shifting the culture of psychiatry and clinical psychiatry by regulating the professions – as police culture was nudged to change to some degree after the Macpherson report of 1999, and so on . What seem to be needed is in-depth understanding of what institutional (‘cultural’) racism really means (I am not sure many people in positions of power have this understanding). This is really a form of indirect racism unlike the direct in-your-face racism we all recognise so easily and counteracting such racism has to be primarily by indirect action (of which legal action it one). And of course there has to be a political will to institute change and for people leading reviews (like MHAct Review) to “TELL IT HOW IT IS” to start with. Will Simon Wessely do that?